Federal Employees Health Benefits Program Report on Health Information Technology (HIT) and Transparency. September 2007

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Federal Employees Health Benefits Program Report on Health Information Technology (HIT) and Transparency. September 2007"

Transcription

1 Federal Employees Health Benefits Program Report on Health Information Technology (HIT) and Transparency Executive Summary September 2007 This report is based on information collected from health participating in the Federal Employees Health Benefits (FEHB) Program. It is divided into two sections: 1) health information technology implementation; and, 2) availability of health care price and quality transparency information for plan members. Key results are as follow: 97 percent of FEHB report they have taken steps to educate their members on the value of HIT. 51 percent of health, representing 90 percent of FEHB enrollment, offer some type of personal health record (PHR) to their members. Types of personal health records vary; 18 percent of report their PHRs are populated by members; 14 percent report they are populated with health plan claims data; 13 percent are populated by electronic medical records, and 6 percent offer a view of personal health information with no ability for the member to up-date the information. However, based on the health plan reports, it appears fewer than 5 percent of plan members have accessed the PHRs available to them. 67 percent of report they have online physician or hospital cost estimators or comparison tools on their web sites. 75 percent of report they have online tools that compare physician or hospital quality. 23 percent of health state they provide financial incentives to providers for eprescribing. All FEHB are required to comply with Federal law and policy requirements to protect the privacy of individually identifiable health information. All indicate they provide members with access to the privacy policies that describe their compliance with HIPAA.

2 Report on Health Information Technology (HIT) and Transparency in the FEHB Program Background The lack of interoperable electronic computer systems and standards inhibits the flow of critical health information among patients, providers and health. In addition, information about health care quality and the price/costs of services have been largely unavailable to most consumers. Without consistent health care data standards and cost and quality measures, it is difficult for consumers to have the information they need to make informed choices and seek the best quality care at the most affordable prices. To address this need, President George W. Bush signed an Executive Order in August 2006, which committed Federal health care programs to four cornerstone goals for health information technology (HIT). The following spring, the U.S. Office of Personnel Management (OPM) issued an FEHB carrier letter asking health to commit to the following cornerstones: 1. Consistent standards for connecting HIT, making it possible to share patient health information securely and seamlessly; 2. Enhanced quality of care, so health care providers as well as the public can learn how well each provider measures up in delivering care; 3. Enhanced provider cost so when patients choose care, they can make provider service comparisons on the basis of both the quality and cost of the service or procedure; and, 4. Increasing incentives for quality care at competitive prices, as in payments to providers based on the quality of their services, or insurance options that reward consumers for choices based on quality and cost. FEHB carriers were also asked to describe their actions to advance health information technology and transparency and to complete a quantitative questionnaire measuring their progress on the following steps: Actions to make consumers aware of the value of HIT; Actions to make personal health records available to enrollees based on their medical claims, lab test results and medication history; Actions to meet our health care cost and transparency standards; Actions to provide incentives for eprescribing; and, Actions to ensure compliance with Federal law and policy outlining requirements to protect the privacy of individually identifiable health information. 2

3 Program Findings All FEHB carriers submitted reports on the HIT and transparency information they provide to their members. There are currently 284 plan choices in the FEHB Program and about 8 million Federal enrollees, retirees, and dependents are covered under the Program. The following sections of this report summarize our findings. Actions to Make Consumers Aware of the Value of HIT The health were asked if they had taken actions to describe the value of HIT to their enrollees. 97 percent of indicated that they had taken steps to educate enrollees. Most used their web sites and newsletters to communicate this information. Some promoted their PHR and transparency tools, and the availability of health and wellness information, health risk assessments and disease management programs. The reported the following: Medium used to describe the benefits of HIT: Web site 86 Newsletter 83 Open enrollment meetings 70 Benefits brochure 43 Marketing literature 76 Other 28 When was HIT information first provided to enrollees? Prior to Mid Beginning of Mid Beginning of Mid Beginning of

4 Actions to Make Personal Health Records (PHRs) Available to Enrollees Based on Their Medical Claims, Lab Test Results and Medication History Personal Health Records (PHR) A majority of have developed Personal Health Records (PHR) for their enrollees. 51 percent of representing 90 percent of total FEHB enrollment reported PHRs are available to their enrollees. However, based on the reports, we estimate fewer than five percent of enrollees have accessed PHRs. Generally, PHRs have tools that allow for creation of personal health profiles, enrollee demographic data, and insurance information. Most PHRs in the FEHB Program are populated with member entered data or health plan claims data. When the FEHB populate the PHRs, they mainly use member claims data. This means the claims information is automatically loaded in the PHR by the plan s claims system. A few health have PHRs which are populated with clinical data from electronic health records (EHR) or electronic medical records (EMR), and a few PHRs are available on a view only basis. However, most do not have the capability to populate PHRs from provider EHR/EMRs. In fact, only a limited number of medical providers currently use EHR/EMRs. A 2006 study published in Health Affairs found that provider EHR adoption rates varied from 9.3 percent to 23.9 percent depending on the functionalities that a fully-defined EHRs is expected to have. The inability of health to draw clinical information from medical provider EHR/EMRs limits the clinical data their PHRs contain and the decision support functions they can provide to patients and providers. An exception is in a few HMOs where providers EHR/EMRs are fully integrated with patient PHRs so that clinical decision support and eprescribing are the norm not the exception. Some do have electronic systems that query claims and pharmacy records and/or patient PHRs to determine eligibility for case management, disease management, health information, and other types of clinical decision support. The more advanced PHRs use health risk assessment tools (HRA) to help populate the PHR and the plan s system queries the information to determine the patient s health needs. Once health needs are identified, the system automatically sends clinical decision support guidance to the enrollee. Some indicate they have been closely watching the market as numerous PHR definitions emerge and vendors compete with different operating models for PHR systems. As HIT is an emerging technology, there is a degree of market confusion. There remains a lack of market acceptance of a common PHR definition and associated data content or portability standards. With such a young technology, the PHR market is still sorting itself out. Potential lack of vendor stability and longevity make commitment to a given solution very risky for a health plan. For these reasons, some have taken a conservative approach to offering/sponsoring a PHR solution for their enrollees. 4

5 Plans were asked if they offer a personal health record to their enrollees and given the following four options: Do you offer members a freestanding PHR (information only provided and populated by the member)? Do you offer a PHR tethered to your claims data base (PHR pre-populated by your claims system and supplemented by member entered information)? Do you or your providers offer a PHR tethered to provider electronic health records (EHR) or electronic medical records (EMR) and supplemented by member entered information? Does the plan offer a view-only PHR (member can view their personal health information over the internet but cannot update the information)? The responded as follows: Percentage of Plans Reporting PHRs by Type View Only EHR/EMR Populated Claims Populated Member Populated No PHR 5

6 Plans were asked about the information included in their PHRs. (Some without PHRs also responded to these questions because they had a number of electronic s, but not organized into a consolidated PHR.) The responses were as follows: What information is included in your PHR? Hospital admissions 49 Physician services 57 Lab 53 X-rays 45 Rx 57 Emergency room 47 Allergies 53 Mental health 48 Preventive care/screenings 60 Immunizations 57 Pre-cert/pre-authorization requirements 21 Health education 52 Personal health history 54 Family health history 50 Family planning 26 Advanced directives 27 Registration and insurance information 45 Other 26 Plans were asked how they identify potential case management and disease management candidates. They responded that they obtain this information mainly by querying their claims and pharmacy data bases. Plans with more advanced HIT also queried enrollee PHRs and provider EHRs/EMRs: Does your plan identify potential case management and disease management candidates by querying: Health plan claims database? 90 Member PHRs? 25 Provider EHRs or EMRs? 22 Member prescription information? 89 6

7 Health Plan Members Plans reported that members are able to perform the following tasks on their electronic systems, some through their PHRs: Members ---- Are members able to... Schedule appointments online? 17 Access their claims information online? 78 Access EOBs online? 65 Complete their physician s office registration summary (clipboard) and medication history online prior to their office visit? 9 Access the results of their lab tests online? 25 Communicate with their physicians online to discuss clinical issues? 20 Track their preventive care, screenings online? 52 Track immunizations online? 52 Plan members can receive the following through online web portals or Appointment reminders 20 Reminders to refill prescriptions 31 Reminders of preventive screening tests and exams 37 Immunization reminders 29 Information to support their clinical decision making. 67 Health Plan Providers Plans were asked if they had the following capabilities: Does your plan offer pay for performance or pay for use as an incentive to providers to use HIT? 31 Does your plan provide incentives for physicians and hospitals to use certified electronic health records (EHR) or electronic medical records (EMR)? 22 Do you send online information to your providers to support their clinical decision making? 36 Do you reimburse your providers for online patient consultations? 11 7

8 Actions to Meet FEHB Health Care Transparency Standards (Price/Cost and Quality Tools) Fee-for-Service PPOs, CDHP, HDHP Price/cost comparison tools are generally most useful to members in fee-for-service, consumer driven health (CDHP), and high deductible health (HDHP) where there is member cost sharing. These generally pay providers on a fee-forservice basis and an enrollee s financial obligation is typically a percentage of the plan s allowance. Most show physician costs based on what they pay on average for in-network and out-of-network services for specific procedures. Some report actual in-network costs along with out-of-network average costs. Few compared one physician s costs to another. Most physician quality indicators focused on accreditation (e.g., NCQA) and physician credentialing and medical board certification. Hospital cost and quality comparison tools appear to be more prevalent than physician comparison tools. Hospital tools often compared various hospitals by the quality and cost of the hospital by procedure. Most hospital comparison tools offer quality measures on patients treated for a particular condition, including percentage of complications by hospital, number of patients, average length-of-stay, and mortality rate. HMOs Some HMOs are capitated and enrollee financial obligations are flat dollar amounts (copayments or copays) which do not vary based on the plan s payment to providers. HMOs control costs by negotiating provider discounts or paying providers on a salaried basis and performing utilization review. Some HMOs stated that consumer information on quality and price/cost indicators for particular providers are not relevant in an HMO delivery system. This is because the plan has already done the price/cost and quality shopping for the enrollee by only offering providers that accept efficient capitation arrangements and meet the plan s licensing and credentialing requirements. 8

9 Quality Tools Plans reported the following on quality transparency: Quality Transparency Does your plan have online tools that compare physician or hospital quality? 75 Does your plan provide members with online tools that compare physician quality indicators (e.g. board certification, credentialing)? 50 Does your plan provide members with online tools that compare hospital quality indicators (e.g. accreditation, ALOS, complication rates)? 71 Do your quality metrics clearly describe the sources, currency, and geographic limitations of the data? 74 Does your plan participate in state or regional health information network exchange programs? 47 Does your plan participate in collaborative efforts with other public/private sector partners for data aggregation and quality analytics? 71 Does your plan contribute to all-payor claims sets? 26 Price/Cost Tools Plans have a variety of ways in which they provide their members with information on provider and prescription drug prices/costs. They were asked to report on their price/cost transparency tools: Price/Cost Comparison Does your plan have a standard set of procedure codes and costs posted on your web site for FEHB members to view? 37 Does your plan post on its web site published average reimbursement rates related to procedures and services (e.g. Medicare reimbursement rates)? 47 Does your plan post actual reimbursement rates for specific procedures and services? 18 Does your plan focus on products where patient contribution is a function of price (e.g. percentage cost sharing)? 50 9

10 Does your plan have online physician or hospital cost estimators or comparison tools on its web site? Yes 67 If yes, does the plan have online cost estimators that: Show physician costs? 44 Show hospital costs? 51 Compare physician costs? 20 Compare hospital costs? 49 Compare costs by diagnosis? 51 Compare costs by procedure? 57 Compare costs by episodes of care? 38 Reflect plan provider costs by geographic area? 34 Reflect average industry costs by geographic area? 45 Clearly describe the sources, currency, and geographic limitations of the data? 60 Pharmacy Tools --- Does your plan have online tools that Compare prescription drug costs or quality? 69 Show prescription drug retail costs compared to network copayments? 52 Show the generic equivalent or brand name formulary drug costs compared to retail costs? 62 Compare a member s current drug costs to lower priced therapeutic equivalents? 62 Allow members to view the plan s formulary online? 92 Notify members by when the formulary changes? 14 Financial Tools --- Does your plan provide web based tools that Model the member s projected annual health care spending, estimating out-of-pocket costs and tax implications? 52 Provide the current balances for personal health accounts (e.g., HSAs, HRAs, Medical Funds) and check spending against plan deductibles and out-of-pocket maximums? 51 10

11 Actions to Provide Incentives for eprescribing Some in the FEHB Program have e-prescribing capabilities, but not for all providers. A number of have been conducting e-prescribing pilots or participating in collaborative efforts. Some provide e-prescribing equipment to their providers and others offer incentives. HMOs were more likely to report that they used e-prescribing as a part of the EHR or EMR. Many PPO did not respond to this question. Plans were asked to report on their progress in eprescribing; results are as follows: Actions to provide incentives for eprescribing Do you provide any financial incentives to providers for eprescribing? 23 Can physicians order prescriptions online? 59 Do you provide any equipment to your providers for eprescribing? 40 Can members request a prescription refill over the internet? 80 Can providers access the plan s formulary online? 90 Actions to Ensure Compliance with Federal Requirements for the Protection of and Privacy of Individually Identifiable Personal Health Information (PHI) All reported that they comply with the privacy and security requirements of the Health Insurance Portability and Accountability Act (HIPAA) and/or that the vendors they use for their PHRs are business associates under HIPAA regulations and therefore subject to HIPAA requirements. Some reported that they had internet security protections in place but they do not routinely disclose them to enrollees. Some reported their enrollees can control who sees their PHR information because they are the only ones who can access the information. The were asked the following questions on the privacy and security of their enrollees individually identifiable personal health information: Does the plan provide members with an easily accessible and understandable privacy and security policy that describes: The plan s compliance with HIPAA or that the member s PHI is maintained by an entity not protected by HIPAA? 100 How the plan uses a member s PHI? 98 11

12 The were asked the following questions on the privacy and security of their enrollees individually identifiable personal health information (Continued): Who has access to the member s PHI? 98 How and when members can limit access to their PHI? 97 When the plan can disclose their PHI without further consent (e.g., law enforcement, court orders)? 97 When the plan will ask for a member s consent prior to disclosure? 97 Any secondary uses (e.g., marketing, research, quality ) of the member s PHI? 93 How the member can obtain a copy of their PHI? 98 How the member can request to amend or annotate their PHI? 97 How the member will be notified of a breach of privacy? 74 Any remedies for misuse of PHI or breach of privacy (enforcement and dispute resolution mechanisms)? 77 How PHI will be handled if the plan or its vendor goes out of business? 55 The plan s computer system security s (e.g., identification, authorization, access control, auditable) that protect against unauthorized disclosure of PHI? 77 Conclusion The information in this report represents a baseline from which FEHB carriers can move forward in their implementation of HIT and transparency initiatives. We believe significant progress has been made by many of the health over the past several years. Some now offer state-of-the-art personal health records (PHRs) and excellent price and quality transparency information on their web sites, while others are just getting started. We are continuing to encourage FEHB to expand on their HIT and transparency initiatives and to make more of this information available to consumers. We are closely monitoring the progress of all and will highlight those that represent best practices on OPM s web site so FEHB employees, retirees and dependents have this information available when selecting their health during the annual Open Season. 12

December 2014. Federal Employees Health Benefits (FEHB) Program Report on Health Information Technology (HIT) and Transparency

December 2014. Federal Employees Health Benefits (FEHB) Program Report on Health Information Technology (HIT) and Transparency December 2014 Federal Employees Health Benefits (FEHB) Program Report on Health Information Technology (HIT) and Transparency I. Background Federal Employees Health Benefits (FEHB) Program Report on Health

More information

UNDERSTANDING HEALTH INSURANCE TERMINOLOGY

UNDERSTANDING HEALTH INSURANCE TERMINOLOGY UNDERSTANDING HEALTH INSURANCE TERMINOLOGY The information in this brochure is a guide to the terminology used in health insurance today. We hope this allows you to better understand these terms and your

More information

Effective Date: The date on which coverage under an insurance policy begins.

Effective Date: The date on which coverage under an insurance policy begins. Key Healthcare Insurance Terms Agent: A person who represents an insurance company and solicits or sells the company s insurance products. An agent may represent a single company or multiple companies.

More information

GEHA 2014. Health Savings AdvantageSM High-deductible health plan with a health savings account (HSA) (800) 821-6136 geha.com

GEHA 2014. Health Savings AdvantageSM High-deductible health plan with a health savings account (HSA) (800) 821-6136 geha.com GEHA 2014 Health Savings AdvantageSM High-deductible health plan with a health savings account (HSA) (800) 821-6136 geha.com CODE Self Only 341 Self + Family 342 Enrollment checklist 1. Research health

More information

Southern Nevada Medical Industry Coalition

Southern Nevada Medical Industry Coalition Southern Nevada Medical Industry Coalition EHR Workshop Definitions, Certifications, Mandates Presented by Bill Carns, CMPE, CHBME Who is Bill? President of PracticeMax Founder of ASPenLink Board Member

More information

407-767-8554 Fax 407-767-9121

407-767-8554 Fax 407-767-9121 Florida Consumers Notice of Rights Health Insurance, F.S.C.A.I, F.S.C.A.I., FL 32832, FL 32703 Introduction The Office of the Insurance Consumer Advocate has created this guide to inform consumers of some

More information

The Patient Portal Ecosystem: Engaging Patients while Protecting Privacy and Security

The Patient Portal Ecosystem: Engaging Patients while Protecting Privacy and Security The Patient Portal Ecosystem: Engaging Patients while Protecting Privacy and Security NCHICA 11th Academic Medical Center Security & Privacy Conference, June 22-24, 2015 Panel Leader: Panelists: Amy Leopard,

More information

GLOSSARY OF MEDICAL AND INSURANCE TERMS

GLOSSARY OF MEDICAL AND INSURANCE TERMS GLOSSARY OF MEDICAL AND INSURANCE TERMS At Westfield Family Physicians we are aware that there are lots of words and phrases we used every day that may not be familiar to you, our patients. We are providing

More information

1) How does my provider network work with Sanford Health Plan?

1) How does my provider network work with Sanford Health Plan? NDPERS FAQ Summary Non-Medicare Members Last Updated: 8/5/2015 PROVIDER NETWORK 1) How does my provider network work with Sanford Health Plan? Sanford Health Plan is offering you the same PPO network you

More information

Coinsurance A percentage of a health care provider's charge for which the patient is financially responsible under the terms of the policy.

Coinsurance A percentage of a health care provider's charge for which the patient is financially responsible under the terms of the policy. Glossary of Health Insurance Terms On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. When making decisions about health coverage, consumers should

More information

1) How does my provider network work with Sanford Health Plan?

1) How does my provider network work with Sanford Health Plan? NDPERS FAQ Summary Non-Medicare Members Last Updated: 7/20/2015 PROVIDER NETWORK 1) How does my provider network work with Sanford Health Plan? Sanford Health Plan is offering you the same PPO network

More information

State Health Benefit. Benefit Comparison HMO. Presentation to Members of the State Health Benefit Plan

State Health Benefit. Benefit Comparison HMO. Presentation to Members of the State Health Benefit Plan State Health Benefit Plan (SHBP) Benefit Comparison for HRA, HDHP and HMO Presentation to Members of the State Health Benefit Plan DCH Mission ACCESS RESPONSIBLE HEALTHY Access to affordable, quality health

More information

Brookhaven Science Associates, LLC. 2016 Guide To: Medical Programs Health Savings Account Health Care Reimbursement Account

Brookhaven Science Associates, LLC. 2016 Guide To: Medical Programs Health Savings Account Health Care Reimbursement Account Brookhaven Science Associates, LLC 2016 Guide To: Medical Programs Health Savings Account Health Care Reimbursement Account 1 2 Here s What You ll Find In This Booklet ITEM PAGE # OVERVIEW... 5 MEDICAL

More information

Guide To Federal Benefits

Guide To Federal Benefits The 2011 Guide To Federal Benefits For TCC and Former Spouse Enrollees/ Individuals Eligible To Enroll For: Temporary Continuation of Coverage (TCC); Coverage under the Spouse Equity Provisions of FEHB

More information

A Consumer Guide to Understanding Health Plan Networks

A Consumer Guide to Understanding Health Plan Networks A Consumer Guide to Understanding Health Plan Networks Table of Contents steps you can take to understand your health plan s provider network pg 4 What a provider network is pg 8 Many people are now shopping

More information

Retiree Considerations Medicare 101. June 26, 2012

Retiree Considerations Medicare 101. June 26, 2012 Retiree Considerations Medicare 101 June 26, 2012 Agenda Goal: Present information regarding Medicare and related products to assist you in evaluating options Key Topics: Eligibility Rules Enrollment Rules

More information

Data Breach, Electronic Health Records and Healthcare Reform

Data Breach, Electronic Health Records and Healthcare Reform Data Breach, Electronic Health Records and Healthcare Reform (This presentation is for informational purposes only and it is not intended, and should not be relied upon, as legal advice.) Overview of HIPAA

More information

Patients Bill of Rights

Patients Bill of Rights Patients Bill of Rights What is the Patients' Bill of Rights? In March of 1997, President Clinton appointed the Advisory Commission on Consumer Protection and Quality in the Health Care Industry (Commission)

More information

Networked Personal Health Records

Networked Personal Health Records Networked Personal Health Records Table of Contents Potential of Personal Health Records (PHRs) What is a PHR? Common functions of a PHR Ideal attributes The PHR environment Consumer perceptions about

More information

Health Coverage with More Choices

Health Coverage with More Choices Health Coverage with More Choices Get ready for a different approach to health coverage with flexibility to choose a plan that fits your needs. This brochure explains the health coverage for Medicare-eligible

More information

The Federal Employees Health Benefits Program and Medicare

The Federal Employees Health Benefits Program and Medicare The Federal Employees Health Benefits Program and Medicare This booklet answers questions about how the Federal Employees Health Benefits (FEHB) Program and Medicare work together to provide health benefits

More information

Welcome MHBP Value Plan Members

Welcome MHBP Value Plan Members Welcome MHBP Value Plan Members Welcome to the Mail Handlers Benefit Plan. We are delighted that you chose to enroll in our newest health plan option. We are proud of our long heritage in serving federal

More information

Federal Employees Health Benefits (FEHB) Program. Webcast: December 16, 2011. By: Kate Schilling, BSSA

Federal Employees Health Benefits (FEHB) Program. Webcast: December 16, 2011. By: Kate Schilling, BSSA Federal Employees Health Benefits (FEHB) Program Webcast: December 16, 2011 By: Kate Schilling, BSSA Table of Contents FEHB Intro and program features..... 2 Who is eligible for FEHB plans?....... 4 What

More information

Understand what s new and think differently...

Understand what s new and think differently... Understand what s new and think differently... Together, we can think differently about our new programs and benefit options that are designed to help you make wiser, healthier choices. Annual enrollment:

More information

SPD Benefits. October 29th through November 19th, 2014 at Noon EST

SPD Benefits. October 29th through November 19th, 2014 at Noon EST SPD Benefits October 29th through November 19th, 2014 at Noon EST 2015 Overview What stays the same in 2015? No plan design changes for Dental and Vision. No premium changes for Dental and Vision. No changes

More information

List of Insurance Terms and Definitions for Uniform Translation

List of Insurance Terms and Definitions for Uniform Translation Term actuarial value Affordable Care Act allowed charge Definition The percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%,

More information

Kansas Health Policy Authority Small Business Health Insurance Steering Committee

Kansas Health Policy Authority Small Business Health Insurance Steering Committee How Health Coverage Works: Coverage Delivery, Risk Assessment, and Regulation The following summarizes the document How Private Health Coverage Works: A Primer 2008 Update published by the Kaiser Family

More information

Comparison of Health Care Plans Metro Interagency Insurance Program Effective Date: July 1, 2015

Comparison of Health Care Plans Metro Interagency Insurance Program Effective Date: July 1, 2015 Comparison of Health Care Plans Metro Interagency Insurance Program Effective Date: July 1, 2015 Wellmark Blue Cross Blue Shield Customer Service: 1-800-277-8380 Participating Provider Directory Information:

More information

Solutions. Quality Service Plan Choice Value-Added Programs. for small business.

Solutions. Quality Service Plan Choice Value-Added Programs. for small business. Solutions Quality Service Plan Choice Value-Added Programs for small business. How does a small business attract and keep talented workers? One of the most important and attractive employee benefits an

More information

2015 IBM Health Benefit Comparison Charts for IBM Active Employees

2015 IBM Health Benefit Comparison Charts for IBM Active Employees 2015 IBM Health Benefit Comparison Charts for IBM Active Employees These Health Benefit Comparison Charts provide a summary overview of the coverage available for medical, mental health/substance care

More information

Retiree Health Care Plan Benefits 2012 Enrollment Guide. Medical Coverage: Pre-Medicare Retirees

Retiree Health Care Plan Benefits 2012 Enrollment Guide. Medical Coverage: Pre-Medicare Retirees Retiree Health Care Plan Benefits 2012 Enrollment Guide Medical Coverage: Pre-Medicare Retirees You ll choose from four medical plans: Basic, Comprehensive, Health Reimbursement Arrangement (HRA) and Health

More information

A KPS Federal Plan. Medicare

A KPS Federal Plan. Medicare A KPS Federal Plan Medicare Covers most of your out of pocket medical expenses! Medicare & KPS FEHB Guide Page 1 Table of Contents Page Medicare & You 3 Facts about Medicare 4 Medicare & the KPS Federal

More information

ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES I acknowledge that I have been provided a copy of Fiorillo Cosmetic and General Dentistry s Notice of Privacy Practices, which has an effective

More information

Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA)

Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA) Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA) Interact with this ebrochure. Here s how. This ebrochure is designed for onscreen viewing, allowing you to navigate through the document

More information

Qualified Health Plan: Selection Process and Contracting Plan Management Advisory Group Discussion. February 19, 2013

Qualified Health Plan: Selection Process and Contracting Plan Management Advisory Group Discussion. February 19, 2013 Qualified Health Plan: Selection Process and Contracting Plan Management Advisory Group Discussion February 19, 2013 HMO and PPO Options / Number and Type of Plans Geographic Coverage by Health Plan: Stimulating

More information

MEDICAL ASSISTANCE BULLETIN

MEDICAL ASSISTANCE BULLETIN ISSUE DATE April 8, 2011 EFFECTIVE DATE April 8, 2011 MEDICAL ASSISTANCE BULLETIN NUMBER 03-11-01, 09-11-02, 14-11-01, 18-11-01 24-11-03, 27-11-02, 31-11-02, 33-11-02 SUBJECT Electronic Prescribing Internet-based

More information

Medical Records and Managed Care

Medical Records and Managed Care CHAPTER 2 Medical Records and Managed Care Chapter Objectives Define utilization management and utilization review organization. Explain the role of patient information with respect to the utilization

More information

Medical Plan Comparison

Medical Plan Comparison For Agent Use Only Medical Plan Comparison Flexible Plan Designs, Lower-Cost Alternatives As an expert in small group healthcare benefits, Starmark provides businesses with two to 50 employees a broad

More information

The Potential Impact of State Mandatory Assignment Legislation on Consumers

The Potential Impact of State Mandatory Assignment Legislation on Consumers The Potential Impact of State Mandatory Assignment Legislation on Consumers September 4, 2003 Prepared by: Jon M. Wander, F.S.A., M.A.A.A. Daniel E. Freier, F.S.A., M.A.A.A. At the Request of the Blue

More information

Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1

Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1 Health Information Technology in Healthcare: Frequently Asked Questions (FAQ) 1 1. What is an Electronic Health Record (EHR), an Electronic Medical Record (EMR), a Personal Health Record (PHR) and e-prescribing?

More information

THE A,B,C,D S OF MEDICARE

THE A,B,C,D S OF MEDICARE THE A,B,C,D S OF MEDICARE An important resource for understanding your healthcare in retirement What you need to know for 2014 How Medicare works What Medicare covers How much Medicare costs INTRODUCTION

More information

Comparisons of Other Health Benefit Options

Comparisons of Other Health Benefit Options Comparisons of Other Health Benefit Options COMPARISONS OF OTHER HEALTH BENEFIT OPTIONS QUESTION HEALTH SAVINGS ACCOUNT (HSA) HEALTH REIMBURSEMENT ARRANGEMENT (HRA) FLEXIBLE SPENDING ACCOUNT (FSA) WHO

More information

THE 2009 HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT

THE 2009 HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT July 2009 THE 2009 HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT SUMMARY The Health Information Technology for Economic and Clinical Health Act (HITECH) is an important component of

More information

Chapter 2 Standards for EHRs 1 Chapter 2 Content: LO 2.1 Describe EHR Standards History LO 2.2 Identify basic HIPAA regulations LO 2.3 List basic CHI regulations LO 2.4 Summarize IOM s Core Functions LO

More information

Guide to Purchasing Health Insurance

Guide to Purchasing Health Insurance Guide to Purchasing Health Insurance What are your health insurance choices? Which type is right for you? Sample questions Looking for insurance in specific situations Tips for shopping for health coverage

More information

Role of Health Plans It s Time to Get out of the Sandbox Health Record Enablement

Role of Health Plans It s Time to Get out of the Sandbox Health Record Enablement National Conference of State Legislatures Health IT Champions New Orleans February 2007 Role of Health Plans It s Time to Get out of the Sandbox Health Record Enablement Blue Cross and Blue Shield of Louisiana

More information

230 S. Bemiston; Suite 900 Clayton, MO 63105 (314)727-5522 FAX (314)727-5568 www.mrctbenefitsplus.com www.mrctquote.com

230 S. Bemiston; Suite 900 Clayton, MO 63105 (314)727-5522 FAX (314)727-5568 www.mrctbenefitsplus.com www.mrctquote.com Life & Health Insurance Advisor MRCT Benefits Plus is a comprehensive employee benefits, wellness and Human Resources consulting firm offering a variety of financial services to businesses and individuals

More information

Colorado Choice Health Plans

Colorado Choice Health Plans Quality Overview Colorado Choice Health Plans Accreditation Exchange Product Accrediting Organization: Accreditation Status: URAC Health Plan Accreditation (Marketplace HMO) Provisional Accreditation Commercial

More information

2013 IBM Health Benefit Comparison Charts

2013 IBM Health Benefit Comparison Charts 203 IBM Health Benefit Comparison Charts for IBM Active Employees These Health Benefit Comparison Charts provide a summary overview of the coverage available for medical services, mental health/substance

More information

NOTICE OF PRIVACY PRACTICES TEMPLATE. Sections highlighted in yellow are optional sections, depending on if applicable

NOTICE OF PRIVACY PRACTICES TEMPLATE. Sections highlighted in yellow are optional sections, depending on if applicable NOTICE OF PRIVACY PRACTICES TEMPLATE Sections highlighted in yellow are optional sections, depending on if applicable Original Date: ##/##/#### Revised per HIPAA Omnibus Rule ##/##/#### Revised Date Implementation:

More information

EHR Glossary of Terms

EHR Glossary of Terms EHR Glossary of Terms American Recovery and Reinvestment Act of 2009 (ARRA): budget bill enacted by Congress and signed by President Obama on February 17, 2009 that was designed to provide an economic

More information

MERCER S NATIONAL SURVEY OF EMPLOYER-SPONSORED HEALTH PLANS. MTEBC, February, 2013

MERCER S NATIONAL SURVEY OF EMPLOYER-SPONSORED HEALTH PLANS. MTEBC, February, 2013 MERCER S NATIONAL SURVEY OF EMPLOYER-SPONSORED HEALTH PLANS MTEBC, February, 2013 Agenda Top Stories Market developments (influence of Health Reform) Details on cost and design CDHP - H.S.A - H.R.A PPO

More information

Preparing for Online Communication with Your Patients

Preparing for Online Communication with Your Patients Preparing for Online Communication with Your Patients A Guide for Providers This easy-to-use, time-saving guide is designed to help medical practices and community clinics prepare for communicating with

More information

A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium.

A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium. HEALTH INSURANCE A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium. HI, I m Kate! I Got Health Insurance! Card Member ID: 0000000000 Group

More information

The HITECH Act: Implications to HIPAA Covered Entities and Business Associates. Linn F. Freedman, Esq.

The HITECH Act: Implications to HIPAA Covered Entities and Business Associates. Linn F. Freedman, Esq. The HITECH Act: Implications to HIPAA Covered Entities and Business Associates Linn F. Freedman, Esq. Introduction and Overview On February 17, 2009, President Obama signed P.L. 111-05, the American Recovery

More information

Physician Champions David C. Kibbe, MD, & Daniel Mongiardo, MD FAQ Responses

Physician Champions David C. Kibbe, MD, & Daniel Mongiardo, MD FAQ Responses Physician Champions David C. Kibbe, MD, & Daniel Mongiardo, MD FAQ Responses DR. KIBBE S RESPONSES What is health information exchange? How can health information exchange help my practice? Can I comply

More information

Guide To Federal Benefits

Guide To Federal Benefits The 2015 Guide To Federal Benefits For Federal Retirees and Their Survivors Federal Employees Health Benefits (FEHB) Program p.4 Federal Employees Dental and Vision Insurance Program (FEDVIP) p.7 Federal

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES Effective Date: September, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW

More information

Nephrology Associates New Patient Registration Forms

Nephrology Associates New Patient Registration Forms Registration Information Authorization form: Last First Middle Address: City: State: Zip: DOB: / / - - Home # ( ) - - Cell # ( ) - - Email Address: Alternate Contact Information Phone Number Relationship

More information

Bridging the Gap. Adult Immunizations: Benefit Design, Reimbursement Challenges and Billing Solutions

Bridging the Gap. Adult Immunizations: Benefit Design, Reimbursement Challenges and Billing Solutions Bridging the Gap between real time pharmacy claims and batch medical claims Adult Immunizations: Benefit Design, Reimbursement Challenges and Billing Solutions Introduction Provider Challenges Overcoming

More information

Nortec. ACT Now! Nortec EHR. Qualify & Receive $44,000. An Integrated Electronic Health Record Software. www.nortecehr.com

Nortec. ACT Now! Nortec EHR. Qualify & Receive $44,000. An Integrated Electronic Health Record Software. www.nortecehr.com ACT Now! Qualify & Receive $44,000 Nortec Version 7.0 EHR Visit and Register to learn how to meet Meaningful Use requirements An Integrated Electronic Health Record Software Electronic Medical Records

More information

2016 Plan Comparison For HealthFlex Exchange Participants

2016 Plan Comparison For HealthFlex Exchange Participants 2016 Plan Comparison For HealthFlex Exchange Participants This comparison highlights key differences and similarities between plans offered through HealthFlex Exchange in 2016. All plans use the same network

More information

Extending HIS to Support Meaningful Use. October 21, 2010

Extending HIS to Support Meaningful Use. October 21, 2010 Extending to Support Meaningful Use October 21, 2010 Stage 1 Meaningful Use Requirements 15 Core Stage 1 Requirements 10 Requirements (5 can be deferred until Stage 2) Stage 1 Meaningful Use Criteria for

More information

Your UC. Medical Insurance. An overview for active employees

Your UC. Medical Insurance. An overview for active employees Your UC Medical Insurance An overview for active employees Agenda Your Options Pre-paid medical Other Insurance Plans Conclusion Your Options Your options UC offers four types of medical plan o HMO plans

More information

EVERY AMERICAN NEEDS TO KNOW

EVERY AMERICAN NEEDS TO KNOW 8 HEALTH INSURANCE TERMS EVERY AMERICAN NEEDS TO KNOW Health insurance has a language all its own. Understanding how your insurance plan works is something every American needs to master. These terms are

More information

Introduction. Plan sponsors include employers, unions, trust funds, associations and government agencies, and are also referred to as payors.

Introduction. Plan sponsors include employers, unions, trust funds, associations and government agencies, and are also referred to as payors. Maintaining the Affordability of the Prescription Drug Benefit: How Managed Care Organizations Secure Price Concessions from Pharmaceutical Manufacturers Introduction The purpose of this paper is to explain

More information

FEHB Program Carrier Letter All Carriers

FEHB Program Carrier Letter All Carriers FEHB Program Carrier Letter All Carriers U.S. Office of Personnel Management Insurance Services Program Letter No. 2004-04 Date: April 19, 2004 Fee-for-service [ 03 ] Experience-rated HMO [ 04 ] Community-rated

More information

Medicare + GEHA. Protect yourself from unexpected health care expenses

Medicare + GEHA. Protect yourself from unexpected health care expenses Medicare + GEHA Protect yourself from unexpected health care expenses Table of contents Facts about Medicare 5 Medicare Part A 6 Medicare Part B 6 Medicare Part C 7 Medicare Part D 8 GEHA + Medicare 10

More information

Second Annual Florida 2008 Electronic Prescribing Report

Second Annual Florida 2008 Electronic Prescribing Report Second Annual Florida 2008 Electronic Prescribing Report FLORIDA CENTER FOR HEALTH INFORMATION AND POLICY ANALYSIS AGENCY FOR HEALTH CARE ADMINISTRATION JANUARY 2009 Better Health Care for All Floridians

More information

I Have Health Insurance! Now What?

I Have Health Insurance! Now What? I Have Health Insurance! Now What? A Guide to Using Your Private Health Insurance Plan Brought to you by: Congratulations on Your New Health Plan! This guide is an overview of private insurance plans and

More information

201 Alternate Health Plans (HMOs and PPOs such as WEA Trust)

201 Alternate Health Plans (HMOs and PPOs such as WEA Trust) Department of Employee Trust Funds Local Health Insurance Administration Manual 201 Alternate Health Plans (HMOs and PPOs such as WEA Trust) 202 Standard PPO Plan 203 State Maintenance Plan (SMP) 204 Three

More information

What Federal Employees Need to Know About Their Health Insurance and Medicare

What Federal Employees Need to Know About Their Health Insurance and Medicare What Federal Employees Need to Know About Their Health Insurance and Medicare Federal employees have been paying the Medicare Part A (hospital insurance) payroll tax since Jan. 1, 1983. That means all

More information

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year

More information

UNITED STATES OFFICE OF PERSONNEL MANAGEMENT

UNITED STATES OFFICE OF PERSONNEL MANAGEMENT UNITED STATES OFFICE OF PERSONNEL MANAGEMENT STATEMENT OF JONATHAN FOLEY DIRECTOR, PLANNING AND POLICY ANALYSIS U.S. OFFICE OF PERSONNEL MANAGEMENT before the SUBCOMMITTEE ON FEDERAL WORKFORCE, U.S. POSTAL

More information

GONZABA MEDICAL GROUP PATIENT REGISTRATION FORM

GONZABA MEDICAL GROUP PATIENT REGISTRATION FORM GONZABA MEDICAL GROUP PATIENT REGISTRATION FORM DATE: CHART#: GUARANTOR INFORMATION LAST NAME: FIRST NAME: MI: ADDRESS: HOME PHONE: ADDRESS: CITY/STATE: ZIP CODE: **************************************************************************************

More information

Chapter 15 The Electronic Medical Record

Chapter 15 The Electronic Medical Record Chapter 15 The Electronic Medical Record 8 th edition 1 Lesson 15.1 Introduction to the Electronic Medical Record Define, spell, and pronounce the terms listed in the vocabulary. Discuss the presidential

More information

Connecticut General Life Insurance Co.: Open Access 1000/80% Plan Coverage Period: Beginning on or after 9/23/2012

Connecticut General Life Insurance Co.: Open Access 1000/80% Plan Coverage Period: Beginning on or after 9/23/2012 Connecticut General Life Insurance Co.: Open Access 1000/80% Plan Coverage Period: Beginning on or after 9/23/2012 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:

More information

State Retiree Medicare Advantage Plans

State Retiree Medicare Advantage Plans State Retiree Medicare Advantage Plans October/November 2015 Copyright 2013 by The Segal Group, Inc. All rights reserved. Your 2016 Retiree Benefits www.cms.illinois.gov/thetrail 2 Eligibility Who is Required

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES Effective Date: April 14, 2003 Revision Date: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS

More information

GEHA 2014. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health

GEHA 2014. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health GEHA 2014 A complete guide to GEHA Health Plans (800) 262-GEHA geha.com The Benefits of Better Health Your choice of three health plans, with more doctors and hospitals and member cost savings for: doctor

More information

HEALTH CARE CHOICES FOR ELIGIBLE RETIREES

HEALTH CARE CHOICES FOR ELIGIBLE RETIREES HEALTH CARE CHOICES FOR ELIGIBLE RETIREES Effective 2013 table of contents > Page 2 3 Retiree Medical Plan Overview 3 Plan Highlights and Eligibility 5 Non-Medicare Eligible Retiree Component 6 Aetna PPO

More information

FREQUENTLY ASKED QUESTIONS ID CARDS / ELIGIBILITY / ENROLLMENT

FREQUENTLY ASKED QUESTIONS ID CARDS / ELIGIBILITY / ENROLLMENT FREQUENTLY ASKED QUESTIONS ID CARDS / ELIGIBILITY / ENROLLMENT BENEFIT INFORMATION CLAIMS STATUS/INFORMATION GENERAL INFORMATION PROVIDERS THE SIGNATURE 90 ACCOUNT PLAN THE SIGNATURE 80 PLAN USING YOUR

More information

I Have Health Insurance! Now What?

I Have Health Insurance! Now What? I Have Health Insurance! Now What? A Guide to Using Your Private Health Insurance Plan Brought to you by: Congratulations on Your New Health Plan! This guide is an overview of private insurance plans and

More information

Adopting an EHR & Meaningful Use

Adopting an EHR & Meaningful Use Adopting an EHR & Meaningful Use Learn how to qualify for the EHR Incentive Program The materials in this presentation, or prepared as part of this presentation, are provided for informational purposes

More information

Your Health Is a Personal Matter

Your Health Is a Personal Matter Employer Guide Your Health Is a Personal Matter And we have taken measures to keep it that way. We understand that your health care information should be treated confidentially, so we have procedures in

More information

Commonwealth of Massachusetts. Health Plans for Individuals and Small Groups in Massachusetts. Consumer Information Guide

Commonwealth of Massachusetts. Health Plans for Individuals and Small Groups in Massachusetts. Consumer Information Guide Commonwealth of Massachusetts Health Plans for Individuals and Small Groups in Massachusetts Consumer Information Guide 1 If you live in Massachusetts and you are age 18 or over, you must have a health

More information

HITRUST CSF Assurance Program You Need a HITRUST CSF Assessment Now What?

HITRUST CSF Assurance Program You Need a HITRUST CSF Assessment Now What? HITRUST CSF Assurance Program You Need a HITRUST CSF Assessment Now What? Introduction This material is designed to answer some of the commonly asked questions by business associates and other organizations

More information

Medicare & UC Medical Benefits

Medicare & UC Medical Benefits Medicare & UC Medical Benefits UCSB Health Care Facilitator Program Laura Morgan 893-4201 UC Retirement Administration Service Center (RASC) 1-800-888-8267 This presentation is intended for communication

More information

Minimum Performance and Service Criteria for Medicare Part D

Minimum Performance and Service Criteria for Medicare Part D Minimum Performance and Service Criteria for Medicare Part D 1. Terms and Conditions. In addition to the other terms and conditions of the Pharmacy Participation Agreement ( Agreement ), the following

More information

Indigo EHR/PM Solution with Revenue Cycle Management. Copyright 2011 Health One Technology Solutions. All rights reserved.

Indigo EHR/PM Solution with Revenue Cycle Management. Copyright 2011 Health One Technology Solutions. All rights reserved. Indigo EHR/PM Solution with Revenue Cycle Management Indigo EHR/PM Solution & Revenue Cycle Mgmt. Industry-Leading Solution for Ease-of-Use & Functionality Easy-to-use EHR reduces time-consuming charting

More information

City of Portland HEALTH EXPENSE REIMBURSEMENT ACCOUNT

City of Portland HEALTH EXPENSE REIMBURSEMENT ACCOUNT EXHIBIT C City of Portland HEALTH EXPENSE REIMBURSEMENT ACCOUNT S U M M A R Y P L A N D E S C R I P T I O N Effective January, 2016 City of Portland Health Expense Reimbursement Account Summary Plan Description

More information

Effective Date: March 23, 2016

Effective Date: March 23, 2016 AIG COMPANIES Effective Date: March 23, 2016 HIPAA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

More information

Frequently Asked Questions. High Deductible Health Plan (HDHP) with Health Savings Account (HSA)

Frequently Asked Questions. High Deductible Health Plan (HDHP) with Health Savings Account (HSA) Frequently Asked Questions High Deductible Health Plan (HDHP) with Health Savings Account (HSA) There are two components to the High Deductible Health Plan (HDHP) with HSA Medical Plan the HDHP Health

More information

Updated as of 05/15/13-1 -

Updated as of 05/15/13-1 - Updated as of 05/15/13-1 - GENERAL OFFICE POLICIES Thank you for choosing the Quiroz Adult Medicine Clinic, PA (QAMC) as your health care provider. The following general office policies are provided to

More information

benefit summary BAXTER COUNTY

benefit summary BAXTER COUNTY benefit summary BAXTER COUNTY benefit summary Effective Date: BAXTER COUNTY 01/01/2015 welcome Arkansas Blue Cross and Blue Shield is pleased to be your health insurance company. This Benefit Summary gives

More information

2012 Milwaukee County

2012 Milwaukee County 2012 Milwaukee County Retiree Benefits Booklet Medical Plans Basic Life Insurance Plan Open through December 1, 2006 DEPARTMENT of ADMINISTRATIVE SERVICES DIVISION of EMPLOYEE BENEFITS 1 TABLE OF CONTENTS

More information

GEHA 2015. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health

GEHA 2015. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health GEHA 2015 A complete guide to GEHA Health Plans (800) 262-GEHA geha.com The Benefits of Better Health Your choice of three health plans, with more doctors and hospitals and member cost savings for: Doctor

More information

PHASE II CORE 260 ELIGIBILITY & BENEFITS (270/271) DATA CONTENT RULE VERSION 2.1.0 SECTION 6.2 APPENDIX 2: GLOSSARY OF DATA CONTENT TERMS MARCH 2011

PHASE II CORE 260 ELIGIBILITY & BENEFITS (270/271) DATA CONTENT RULE VERSION 2.1.0 SECTION 6.2 APPENDIX 2: GLOSSARY OF DATA CONTENT TERMS MARCH 2011 PHASE II CORE 260 ELIGIBILITY & BENEFITS (270/271) DATA CONTENT RULE VERSION 2.1.0 SECTION 6.2 APPENDIX 2: GLOSSARY OF DATA CONTENT TERMS MARCH 2011 CAQH 2008-2011. All rights reserved. 1 Table of Contents

More information

FUNDAMENTALS OF HEALTH INSURANCE: What Health Insurance Products Are Available?

FUNDAMENTALS OF HEALTH INSURANCE: What Health Insurance Products Are Available? http://www.naic.org/ FUNDAMENTALS OF HEALTH INSURANCE: PURPOSE The purpose of this session is to acquaint the participants with the basic principles of health insurance, areas of health insurance regulation

More information

Summary of Benefits and Coverage What this Plan Covers & What it Costs

Summary of Benefits and Coverage What this Plan Covers & What it Costs This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the plan document at www.mpiphp.org or by calling 1-855-275-4674. Important Questions Answers

More information